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Novel Service Delivery Approach to Address Reproductive Health Disparities within Immigrant Latino Communities in Geographic Hot Spots: An Implementation Study.
Health & Social Work ( IF 1.7 ) Pub Date : 2020-07-06 , DOI: 10.1093/hsw/hlaa014
Amittia Parker 1 , Michelle Johnson-Motoyama 2 , E Susana Mariscal 3 , Vincent Guilamo-Ramos 4 , Elizabeth Reynoso 5 , Cielo Fernandez 5
Affiliation  

Abstract
Latinx youths continue to have the highest rates of teenage births in the United States and are at increased risk of acquiring sexually transmitted infections, including HIV/AIDS. A community-based research partnership piloted Families Talking Together, a brief, parent-based sexual risk reduction program using a novel and culturally relevant approach. This mixed-methods study examined the feasibility and acceptability of Spanish-speaking promotoras de salud (that is, community health workers) as implementers of an evidence-based intervention (EBI) to reach underserved immigrant communities. Findings suggest that promotoras are capable of implementing the EBI with positive organizational, client, and implementation outcomes. Furthermore, promotoras hold particular promise for addressing reproductive health disparities as they are indigenous and trusted members of the community who can reach members of marginalized Latino populations.


中文翻译:

解决地理热点地区拉丁美洲移民社区内生殖健康差异的新型服务提供方法:一项实施研究。

摘要
在美国,拉丁裔青年仍然是青少年生育率最高的国家,罹患包括艾滋病毒/艾滋病在内的性传播感染的风险也越来越高。一个以社区为基础的研究伙伴关系试行了“家庭交谈”,这是一个简短的,基于父母的性风险降低计划,采用了一种与文化相关的新方法。这项混合方法研究考察了西班牙语推广者的可行性和可接受性(即社区卫生工作者)作为循证干预措施(EBI)的实施者,以帮助服务不足的移民社区。研究结果表明,promotoras有能力以积极的组织,客户和实施成果实施EBI。此外,promotoras具有解决生殖健康差异的特别希望,因为它们是社区的土著居民和受信任的成员,可以接触到边缘化的拉丁美洲人。
更新日期:2020-07-06
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